Most Relevant Information
Provider Data
| NPI Number: | 1003407743 |
| Provider Name: | TRACY LYNN WATSON |
| Entity Type: | Individual |
| Taxonomy Code: | 163WE0003X |
| Specialty: | Registered Nurse |
| License Number: | RN102387 |
Most Important Dates
| Enumeration Date: | 01/26/2021 |
| Last Updated: | 01/26/2021 |
Provider Practice Location
516 E NIZHONI BLVD
GALLUP
NM
873015748
Practice Location Phone/Fax
| Phone: | 5057221000 |
| Fax: |
Provider Mailing Location
208 N 6TH ST
SIERRA VISTA
AZ
856351555
Provider Mailing Phone/Fax
| Phone: | 4089148857 |
| Fax: |